Multiple births are risky for both the mother and children and are considered an undesirable outcome of assisted reproductive technology.
Pregnancy
The mother's health and gestational status were followed since her first trimester. She has asked that only limited information be released about the births, so hospital officials have not released her name (nor the names of the octuplets), nor have they stated whether the woman took fertility treatments. However, her identity was confirmed by her mother and neighbors to the Associated Press, the Los Angeles Times and other news media.
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In fact, CBS has reported that her family supplied her name for the AP to make public.
Medical experts initially speculated that the woman probably received controlled ovarian hyperstimulation rather than in vitro fertilization (IVF), a more expensive procedure which would have been less likely to produce octuplets. The octuplets' grandmother, however, later confirmed that an in vitro procedure had been used. Multiple births with IVF require the intentional transfer of multiple embryos. A neighbor confirmed that a sperm donor was used to produce the octuplets as well as the unmarried woman's other six children.
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Current American Society for Reproductive Medicine guidelines limit the number transferred to two for women less than 35 to avoid high order multiple pregnancies. An expert interviewed by CBS News stated that the use of IVF on a woman in this situation would have been "extremely irresponsible" and possibly unethical.
Birth
The delivery, via a scheduled Caesarean section, involved 46 medical personnel, and was practised twice beforehand. Doctors anticipated only seven babies, so the eighth ("Baby H", a boy) came as a surprise. The infants (six boys and two girls) were born at 30½ weeks of gestation, approximately nine weeks premature. They ranged in weight from 1 pound and 8 ounces (680g) to 3 pounds and 4 ounces (1470 g). The first baby was said to have come out "kicking and crying".
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Born over the course of five minutes, all eight babies were immediately reported in stable condition, though two required breathing tubes and a ventilator and another required extra oxygen.
After birth
After giving birth, the mother reportedly expressed the desire to breastfeed all eight infants.
Two days after birth, five of the eight infants received their first tube-feeding of (donated) breast milk, although one of the infants ("Baby F", a boy who weighed 2 pounds 12 ounces (1.25 kg) at birth) rejected his first tube-feeding and was returned to intravenous feeding, his stomach as yet unable to absorb breast milk. Three other infants have been fed intravenously since birth and are yet to receive their first tube-feeding.
Three days after the birth, the octuplets' grandmother, Angela Suleman, told the Los Angeles Times that after her daughter was told she was pregnant with seven, she ruled out a selective reduction procedure: "What do you suggest she should have done? She refused to have them killed," Suleman said.
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Her daughter never expected all eight embryos implanted in her would develop, she said.
Personal life
The octuplets' mother already had six children (ages 7, 6, 5, 3, with two-year-old twins) before seeking fertility treatment in 2008. She reportedly lives with her children and parents in Whittier, California, on a "well-kept cul-de-sac" in a neighborhood described as having small one- and two-story homes with two or three bedrooms. According to public records, the Suleman family filed for bankruptcy and abandoned another home in late 2007. The octuplets' maternal grandfather Ed Suleman, in his early 60s and identifying himself as a former Iraqi military man, says he is returning to his native Iraq as a translator in order to financially support his daughter and her children.
According to the Los Angeles Times, Nadya Suleman graduated from Cal State Fullerton in 2006 with a bachelor of science degree in child and adolescent development and worked as a psychiatric technician until she was injured.
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